Hearing impaired men and women generally have a greater chance of substance abuse issues due to their impairment, and rehab services must be available to them which serves their needs. People who are hearing impaired can seem to be alone, unmotivated, and goalless because of their impairment. Some hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and have a temporary escape from the emotional and psychological challenges that come with possessing this handicap in life. To start with, detecting a drug and alcohol abuse problem among the hearing impaired can be a challenge, as these individuals may attempt to hide their issue due to social stigmas attached to abusing drugs. Having said that, drug and alcohol treatment counselors who provide treatment to hearing impaired individuals see the challenges that these clients face. ASL rehab services are definitely a must, as well as treatment services which address the particular challenges that hearing impaired individuals encounter. Group therapy provides a venue for important peer interactions to ensure treatment clients can know that they are not on their own, and that there is hope to handle their problem with alcohol and drugs. Individual counseling services can be more tailor-made for each person to ensure that their own challenges can be remedied in rehab.